Provider Demographics
NPI:1912103896
Name:RAMOS, MARICARL BABARAN (DDS)
Entity Type:Individual
Prefix:
First Name:MARICARL
Middle Name:BABARAN
Last Name:RAMOS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 NORTHGATE BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-2504
Mailing Address - Country:US
Mailing Address - Phone:916-564-8088
Mailing Address - Fax:916-564-8886
Practice Address - Street 1:2321 NORTHGATE BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833-2504
Practice Address - Country:US
Practice Address - Phone:916-564-8088
Practice Address - Fax:916-564-8886
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA556731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice